ATI RN
ATI Maternal Newborn Exam Maltoso Questions
Extract:
A client in active labor at 0900, FHR 125 bpm, moderate variability, no decelerations, contractions every 6-8 minutes, oxytocin at 6 mu/min, mild discomfort.
Question 1 of 5
Which actions should the nurse take at 0900?
Correct Answer: C,D,E
Rationale: Notifying the provider (
C), repositioning to lateral (
D), and titrating oxytocin to 8 mu/min (E) support labor progression. Fluid bolus (
A) is unnecessary with stable vitals, and discontinuing oxytocin (
B) is not indicated with mild contractions.
Extract:
A client at 37 weeks gestation for a scheduled external cephalic version (ECV).
Question 2 of 5
Which actions should the nurse anticipate prior to ECV?
Correct Answer: A,B,C,E
Rationale: IV access (
A), consent (
B), ultrasound (
C), and reactive NST (E) ensure safety and readiness for ECV. Oxytocin (
D) is not used for ECV.
Extract:
A term low-risk nulliparous client in second stage labor, epidural, pushing for over 3 hours, exhausted, fetal station +3.
Question 3 of 5
What intervention does the nurse anticipate?
Correct Answer: C
Rationale: Vacuum-assisted delivery (
C) is appropriate for exhaustion and low fetal station. Prolonged pushing (
A) is not ideal, cesarean (
B) is less likely, and fluid bolus (
D) does not aid delivery.
Extract:
A student nurse reviewing the Five P's of labor.
Question 4 of 5
Which fetal (passenger) factors can contribute to labor dystocia?
Correct Answer: C
Rationale: Estimated fetal weight of 4600 grams (
C) indicates macrosomia, which can cause labor dystocia due to difficulty passing through the pelvis. Polydactyly (
A) and hydronephrosis (
D) do not affect labor progression, and occiput anterior (
B) is the ideal position.
Extract:
A client with hypotonic uterine dysfunction, 3 contractions in 10 minutes, peaks at 70, 60, 50 mmHg, resting tone 20 mmHg.
Question 5 of 5
What is the total Montevideo units?
Correct Answer: 54
Rationale: Montevideo units = (70 + 60 + 50 - 20) X 3 /10 = 54.